MEDICARE: NATALLIA BORISOVNA PHILLIPS MSN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	237692	AZ

General Provider Information

NPI Number	:	1730521121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALLIA BORISOVNA PHILLIPS MSN, FNP-C

Provider Business Mailing Address
First Line	:	3751 W SPINNAKER LN
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85742-9216
Country	:	US
Telephone Number	:	520-861-3416
Fax Number	:

Provider Business Practice Location Address
First Line	:	7089 N THORNYDALE RD STE 101
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85741-2728
Country	:	US
Telephone Number	:	520-694-6600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2013
Last Update Date	:	02/05/2020

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